Frequently Asked Questions

Weight-neutral care means that your weight is not the primary goal or measure of success in our work together. Instead, we focus on your health behaviors, how you feel, your lab values, your energy, and your relationship with food. Weight loss is not the destination.

This approach is grounded in research showing that sustainable, meaningful health improvements are possible at any size, and that weight-focused interventions often cause more harm than good.

HAES stands for Health at Every Size. It’s a framework that promotes equitable access to compassionate healthcare and respects body diversity and automony. It shifts the focus from weight management to health-promoting behaviors and dismantles the assumption that a smaller body is always a healthier one.

In practice, this means I won't put you on a meal plan designed to shrink your body, and I won't measure your progress by the number on a scale. My goal is to help you build a relationship with food and your health that feels grounded, kind, and actually sustainable.

Diabetes management often involves close attention to food (like tracking carbs, reading labels, and monitoring blood sugar responses). For someone with a history of disordered eating, this level of food focus can be really activating and harmful if not handled carefully.

Eating disorder-informed care means I'm trained to recognize these intersections and approach diabetes education in a way that doesn't trigger or reinforce disordered patterns. We find strategies that support your diabetes management and protect your relationship with food, not one at the expense of the other.

Body image comes up a lot in this work, and for good reason. We live within systems that don't respect body diversity and actively reinforce anti-fat prejudices. On top of that, managing diabetes often brings an increased awareness of your body that can be hard to navigate, especially if your relationship with your body is already complicated.

I believe it's important to address body image alongside nutrition and diabetes care when it's relevant. After all, It's more difficult to care for something you don't respect.

This work can take many forms, but it often looks like:

• Challenging beliefs about "good" vs. "bad" bodies

• Exploring inherited internal and external body prejudices

• Building practices that strengthen body respect in ways that align with your goals and values

This isn't about forcing positive feelings about your body. It's about creating enough respect and neutrality that caring for yourself feels possible.

CDCES stands for Certified Diabetes Care and Education Specialist. It is a nationally recognized credential for healthcare professionals who specialize in diabetes education and support. It's separate from being a registered dietitian nutritionist and requires additional training, supervised experience, continuing education, and an exam focused specifically on diabetes care.

What this means for you: I'm not just giving you general nutrition advice. I have deep, specialized knowledge of diabetes management, blood sugar, medications, devices like CGMs and insulin pumps, and the emotional side of living with diabetes, all through a weight-neutral, non-restrictive lens.

Nope! I work with people on general nutrition support regardless of diagnosis. If you're looking for help with your relationship with food, eating patterns, or general wellness, we can work together.

That said, if you do have a diabetes or eating disorder diagnosis and are using your insurance to see me, you may qualify for additional insurance coverage through your medical nutrition therapy benefits which can make our work together more accessible.

Yes! I am currently in-network with the following insurance plans:

• Cigna

• United Health Care

• Regence

• Premera

If your plan is not listed, I also offer private-pay rates and sliding scale. I'm happy to talk through your options on a free discovery call.

For more information on rates and insurance, please visit this page.

In most cases, no referral is needed. Many insurance plans include coverage for basic nutrition support without requiring referrals. You can often just reach out and book directly.

That said, referral requirements vary by plan, so it's worth a quick call to your insurance to confirm your specific benefits.

If you have a diabetes or eating disorder diagnosis, you may be eligible for additional covered sessions under medical nutrition therapy (MNT) benefits, separate from basic nutrition coverage. You will need an official diagnosis from your doctor to access this coverage.

The best way to find out is to call your insurance and ask the following questions:

• "Does my plan cover medical nutrition therapy for procedure codes 97802 (initial nutrition assessment), 97803 (nutrition counseling follow-up visit), and 97804 (nutrition group support) with an in-network registered dietitian?"

• Do I have additional or different coverage to see a dietitian for diabetes?

• How many visits are covered per year?

• Do I have a copay, and if so, how much?

• Do I need to meet a deductible before I have coverage?

• Is Six Nutrition and Diabetes in-network with my plan?

  • They may ask for the following information:

    • My name and NPI (provider) #: Kelly Six, 1952078453

    • Group Practice NPI #: 1023984580

    • Business address: 4501 15th Ave S, Suite 102, Seattle WA 98108

All of my sessions are conducted via telehealth. Appointments take place over a secure video platform, which means you can work with me from your home, office, or wherever you're most comfortable.

Before we officially start, I offer a free 20-minute discovery call so we can connect, make sure we're a good fit, and talk through any questions you have about the process. After you schedule your first appointment, I’ll send you intake documents and a link to your portal through your email.

At our first full appointment, we'll spend time getting to know your history: your relationship with food, your diabetes experience, what's working, what isn't, and what you're hoping to feel differently about. There's no rigid protocol. We build from where you are.

Follow up appointments can include check ins, processing, education, and goal setting/adjustments.

I often say that our work looks more like therapy than going to a doctor. I do not “prescribe” a diet or lifestyle. Instead, we talk through what you're going through, how you’re feeling, your health goals, your strengths, your values, and we use this information to build a direction and a plan.

This depends on your needs, goals, and insurance coverage. Many clients start with weekly or biweekly sessions, and we adjust from there. I'll always work with you on a schedule that feels sustainable and makes sense for where you are.